By vgreene, 21 February, 2018 DM teaching before discharge, including written materials specifying BG checks (at least 2x/day initially), adjustments/actions based on BG, community resources
By vgreene, 21 February, 2018 Ensure adequate supplies (eg, insulin pen/syringes; BG meter, strips; lancing device, lancets; glucagon kit (if on insulin); urine ketone strip (T1DM); medical alert info
By vgreene, 21 February, 2018 If prescribing insulin: Determine dose for basal3 or basal + nutritional strategy;4 start new regimen at least 1day5 prior to d/c, to assess efficacy
By vgreene, 21 February, 2018 If prescribing oral antihyperglycemics: Withhold until day of d/c (or 1st day home)
By vgreene, 21 February, 2018 If known DM not @ goal2 pre-admission, escalate/descalate home regimen2
By vgreene, 21 February, 2018 If known DM w/ acceptable preadmission glycemic control w/o new contraindications: resume preadmission regimen
By vgreene, 21 February, 2018 If newly detected hyperglycemia w/ A1c ≥5.7%, base home regimen1 on A1c
